WELCOME TO
Lively Jewels By Drea
Andrea Blevins Contact Info
Phone: 734-747-2151 Email: dreachantey@gmail.com Instagram: @dreachantey
CASH APP: $PAYANDREAB
Customer Information
CUSTOMER ORDER FORM
DATE
Shipping Information
Name
Name
Street
Street State
City
Zip
City
Phone
Phone
Item #
Description
State
Quantity
Price
Subtotal S hipping
Payment Method ¨ Cash ¨ Square
¨ Credit Card ¨ Venmo
¨ PayPal ¨ Other
¨ Cash App
Tax e s
GRAND TOTAL
Zip
Subtotal